• Title/Summary/Keyword: Open Time

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Analysis of Laparoscopy-assisted Gastric Cancer Operations Performed by Inexperienced Junior Surgeons

  • Zhang, Xing-Mao;Wang, Zheng;Liang, Jian-Wei;Zhou, Zhi-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.5077-5081
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    • 2014
  • To clarify whether gastric cancer patients can benefit from laparoscopy-assisted surgery completed by junior surgeons under supervision of expert surgeons, data of 232 patients with gastric cancer underwent operation performed by inexperienced junior surgeons were reviewed. Of the 232 patients, 137 underwent laparoscopy-assisted resection and in 118 cases this approach was successful. All of these 118 patients were assigned to laparoscopic group in this study, 19 patients who were switched to open resection were excluded. All laparoscopic operations were performed under the supervision of expert laparoscopic surgeons. Some 95 patients receiving open resection were assigned to the open group. All open operations were completed independently by the same surgeons. Short-term outcomes including oncologic outcomes, operative time intra-operative blood loss, time to first flatus, time to first defecation, postoperative hospital stay and perioperative complication were compared between the two groups. The numbers of lymph nodes harvested in the laparoscopic and open groups were $21.1{\pm}9.6$ and $18.2{\pm}9.7$ (p=0.029). There was no significant difference in the length of margins. The mean operative time was $215.9{\pm}32.2$ min in laparoscopic group and $220.1{\pm}34.6min$ in the open group (p=0.866), and the mean blood loss in laparoscopic group was obviously less than that in open group ($200.9{\pm}197.0ml$ vs $291.1{\pm}191.4ml$; p=0.001). Time to first flatus in laparoscopic and open groups was $4.0{\pm}1.0$ days and $4.3{\pm}1.2$ days respectively and the difference was not significant (p=0.135). Similarly no statically significant difference was noted for time to first defecation ($4.7{\pm}1.6$ vs $4.8{\pm}1.6$, p=0.586). Eleven patients in the laparoscopic group and 19 in the open group suffered from peri-operative complications and the difference between the two groups was significant (9.3% vs 20.0%, p=0.026). The conversion rate for laparoscopic surgery was 13.9%. Patients with gastric cancer can benefit from laparoscopy-assisted operations completed by inexperienced junior surgeons under supervision of expert laparoscopic surgeons.

A System Design for Real-Time Monitoring of Patient Waiting Time based on Open-Source Platform (오픈소스 플랫폼 기반의 실시간 환자 대기시간 모니터링 시스템 설계)

  • Ryu, Wooseok
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.4
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    • pp.575-580
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    • 2018
  • This paper discusses system for real-time monitoring of patient waiting time in hospitals based on open-source platform. It is necessary to make use of open-source projects to develop a high-performance stream processing system, which analyzes and processes stream data in real time, with less cost. The Hadoop ecosystem is a well-known big data processing platform consisting of numerous open-source subprojects. This paper first defines several requirements for the monitoring system, and selects a few projects from the Hadoop ecosystem that are suited to meet the requirements. Then, the paper proposes system architecture and a detailed module design using Apache Spark, Apache Kafka, and so on. The proposed system can reduce development costs by using open-source projects and by acquiring data from legacy hospital information system. High-performance and fault-tolerance of the system can also be achieved through distributed processing.

Endoscopy versus Open Bursectomy of Lateral Malleolar Bursitis; Comparative Study (외과 점액낭염의 내시경적 방법과 개방적 점액낭 절제술의 비교 연구)

  • Choi, Jae-Hyuck;Kim, Jeong-Ryoul;Kim, Dong-Hyun;Chung, Woo-Chull;Yoon, Jung-Ro;Oh, Seong-Rok;Lee, Kyung-Tai
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.92-96
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    • 2011
  • Purpose: To compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis, which was not treated conservatively. Materials and Methods: Between January 2008 and October 2009, We divided to two groups, endoscopy (group A) 11 cases, open bursectomy (group B) 11 cases. The average follow up period was 15 months (range, 12 to 18), the mean age was 66 (range, 38 to 79). We compared patients satisfaction, complete healing time, operation time, complications and recurrence. Results: Group A had significant difference in terms of the clinical satisfactions, complete healing time. operation time, complications. Group A showed satisfaction (excellent 9, good 2), mean complete healing time 11.9 (8~14) days, operation time 37 (25~45) minutes, 1 case recur. Group B showed satisfaction (excellent 4, good 3, fair 1, poor 3), complete healing time 32.7 (14~98) days, operation time 22 (18~26) minutes. complication were one case of skin necrosis, one case of wound dehiscence, two cases of superficial peroneal nerve injury, no recurrence. Significant advantages of endoscopic method include lower morbidity and rapid wound healing period (p<0.05). Conclusion: Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favourable results compared to the open resection. Significant advantages of this method include lower morbidiy and rapid wound healing.

The Effectiveness of Vacuum-Assisted Closure (V.A.C) Dressing combined with Silver Dressing Material in Open Fracture of the Foot and Ankle (족부 및 족관절의 개방성 골절 환자에서 음압 치료와 실버 드레싱 제재 복합 치료의 유용성)

  • Lee, Yu-Sang;Cho, Jae-Ho;Park, Jin;Han, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.156-162
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    • 2008
  • Purpose: Open fractures of the foot and ankle require prompt repair of the wound due to the complexity of anatomy, insufficiency of soft tissues and inadequate blood supply. Early flaps and skin grafts are used for this purpose yet general condition of the patient as well as local wound environment often precludes such treatment options. Vacuum- Assisted Closure (VAC) is recently being used in such cases. This study was done to validate the use of VAC together with silver antimicrobial dressing materials in contaminated open fracture wounds. Materials and Methods: We have selected 10 patients with Gustillo-Anderson type III open fractures of the foot & ankle treated with VAC and silver antimicrobial dressing materials from March 2007 to January 2008. The relationship between duration of treatment with wound size, contamination, and degree of soft tissue damage was analyzed. Results: The average age of patients was 36.6 years. The average amount of VAC application time was 23.4 days. Silver dressing materials were used for 16.8 days. Average wound healing time was 51.9 days. Statistically significant relationship was found between wound size, VAC application time and silver dressing material application time. No complications such as osteomyelitis were found after treatment. Conclusion: VAC technique is recently being used in open fractures with wide skin and soft tissue defects, producing good results. A wide array of dressing materials such as silver dressing is in development. We have incorporated the VAC technique together with silver dressing materials in the treatment of open fractures and achieved complication free results.

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Comparison of Deep Learning Algorithm in Bus Boarding Assistance System for the Visually Impaired using Deep Learning and Traffic Information Open API (딥러닝과 교통정보 Open API를 이용한 시각장애인 버스 탑승 보조 시스템에서 딥러닝 알고리즘 성능 비교)

  • Kim, Tae hong;Yeo, Gil Su;Jeong, Se Jun;Yu, Yun Seop
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.10a
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    • pp.388-390
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    • 2021
  • This paper introduces a system that can help visually impaired people to board a bus using an embedded board with keypad, dot matrix, lidar sensor, NFC reader, a public data portal Open API system, and deep learning algorithm (YOLOv5). The user inputs the desired bus number through the NFC reader and keypad, and then obtains the location and expected arrival time information of the bus through the Open API real-time data through the voice output entered into the system. In addition, by displaying the bus number as the dot matrix, it can help the bus driver to wait for the visually impaired, and at the same time, a deep learning algorithm (YOLOv5) recognizes the bus number that stops in real time and detects the distance to the bus with a distance detection sensor such as lidar sensor.

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Implementation of Underwater Simulation of a Net using OpenMP (OpenMP 병렬프로그램을 이용한 그물의 수중형상 시뮬레이션 구현)

  • Park, Myeong-Chul;Park, Seok-Gyu
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.2
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    • pp.11-17
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    • 2008
  • The net shape effects by the various vectors in underwater. Each particle of the net calculating the effect of all vectors augments an accuracy and reality. But, the time complexity becomes larger because of huge calculation. The previous techniques reduced a physics reality. And embodied the underwater virtual reality which augments visual reality with simulation. In this paper, parallel processing the particles, it embodied the simulation which is satisfied a physical reality and time reality. The parallel processing used the OpenMP, and the reality graphic expression used the OpenGL. The simulation which this paper Proposes will be the possibility becoming the fundamental data for a model analysis or a specialist system from game and marine field.

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Development of Real time Linux-based Open Architecture Controller (리얼타임 리눅스기반 개방향제어기 개발)

  • 조영준;강희석;김영진;강성복;서연곤
    • Journal of Institute of Control, Robotics and Systems
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    • v.9 no.10
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    • pp.816-821
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    • 2003
  • In the manufacturing industries, agility and flexibility are the key issues to meet the various market demands. From this point of view, open architecture control has many advantages. This paper suggests a real-time Linux-based open architecture controller. Linux-based and windows-based controllers are compared in several aspects, and Linux is shown to be advantageous over the windows. With the user friendly GUI, the suggested controller is applied to the X-Y stage which is made of two linear motors. Path following and repeatability performances are successfully observed, which shows the validity of the suggested controller.

A Current Dynamic Analysis Based Open-Circuit Fault Diagnosis Method in Voltage-Source Inverter Fed Induction Motors

  • Tian, Lisi;Wu, Feng;Shi, Yi;Zhao, Jin
    • Journal of Power Electronics
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    • v.17 no.3
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    • pp.725-732
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    • 2017
  • This paper proposed a real-time, low-cost, fast transistor open-circuit fault diagnosis method for voltage-source inverter fed induction motors. A transistor open-circuit changes the symmetry of the inverter topology, leading to different similarities among three phase load currents. In this paper, dynamic time warping is proposed to describe the similarities among load currents. The proposed diagnosis is independent of the system model and needs no extra sensors or electrical circuits. Both simulation and experimental results show the high efficiency of the proposed fault diagnosis method.

Software-defined Radio (SDR): An Approach to Real-Time Video Data Transceiver Implementation (소프트웨어 정의 라디오: 실시간 동영상 데이터 송수신기 구현에 대한 접근)

  • Dongho You
    • Journal of Broadcast Engineering
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    • v.28 no.1
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    • pp.149-152
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    • 2023
  • In this paper, I present an approach to implement a real-time video transceiver using software-defined radio (SDR). Through this, it is expected that it will be able to lower the access threshold and provide new perspectives and insights to researchers who want to study the recently spotlighted Open Radio Access Network (O-RAN) and implement it through SDR devices and open software.

The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study

  • Sakong, Seungyeob;Lim, Eic Ju;Cho, Jun-Min;Choi, Nak-Jun;Cho, Jae-Woo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • v.34 no.2
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    • pp.105-111
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    • 2021
  • Purpose: Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in polytrauma patients. Methods: This retrospective review included all polytrauma patients with open extremity fractures admitted between March 2009 and December 2019. Patients were divided into two groups according to whether they were treated before or after the implementation of the trauma team approach (March 2014). We analyzed the outcomes in each group with respect to the time interval until the doctor's arrival, total length of stay in the emergency department, the time interval until initial antibiotic treatment and operation, whether the initial operation was performed within 24 hours, and the rate of deep infections. Results: A total of 123 patients met the inclusion criteria. There were no statistically significant differences in demographic characteristics. The time interval until the doctor's arrival (64.12±49.2 minutes vs. 19.82±15.23 minutes; p=0.035) and initial antibiotic treatment (115.47±72.12 minutes vs. 48.78±30.12 minutes; p=0.023) significantly improved after implementing the trauma team approach. The union rate was not significantly different. However, the time interval until initial debridement, opportunity for initial debridement within 24 hours, and the rate of deep infections demonstrated better results. Conclusions: The reduced time interval until initial antibiotic treatment and debridement could be attributed to the positive effect of the trauma team approach on the management of open extremity fractures in polytrauma patients.